Obstetric and gynecological emergencies
Centres/Emergency/Obstetric and gynecological emergencies

Obstetric and gynecological emergencies

Management of pregnancy and women's health emergencies, in direct connection with the clinic's maternity unit and cesarean section room.

What is it?

Obstetric and gynecological emergencies cover all acute situations related to pregnancy and women's health: contractions and the onset of labor, bleeding, decreased fetal movements, acute pelvic pain, suspected ectopic pregnancy or gynecological complications. Upon arrival, the patient is directed to the obstetric-gynecological pathway. The clinic's obstetric team, available 24 hours a day, performs the clinical examination, fetal monitoring and ultrasound needed to assess the condition of both mother and baby. The clinic's maternity unit, with its delivery rooms adjacent to a cesarean section room, allows immediate care when birth is imminent or when an emergency cesarean is required. The anesthesia and pediatric teams can be mobilized at any time to ensure the safety of the mother and the newborn. At Clinique Pasteur Tunis, the continuity between the emergency department, the maternity unit and the operating theatre offers expectant mothers a safe and reassuring environment, at any time of day or night.
Obstetric and gynecological emergencies

When is it indicated?

Regular contractions or waters breaking

These signs often announce the start of labor: the expectant mother is cared for directly by the maternity team.

Bleeding during pregnancy

Any bleeding during pregnancy must be assessed promptly to make sure both mother and baby are doing well.

Decreased fetal movements

If the baby is moving less than usual, monitoring and an ultrasound check its well-being and reassure the mother.

Acute pelvic or abdominal pain in women

Sudden lower abdominal pain may have a gynecological origin requiring an examination and an ultrasound without delay.

Suspected ectopic pregnancy

A pregnancy developing outside the uterus is an emergency: early diagnosis allows rapid and safe management.

Post-operative complications in gynecology

After gynecological surgery, any unusual sign such as pain, fever or bleeding is assessed by a team familiar with this type of surgery.

Procedure

1

Immediate referral to the obstetric-gynecological pathway from triage

2

Clinical examination by the obstetric team

3

Fetal monitoring and ultrasound depending on the situation

4

On-site laboratory samples if necessary

5

Appropriate decision: observation, hospitalization, delivery or emergency cesarean section

6

Continuous updates for the patient and her companion

Results

Depending on the assessment, the patient may return home with monitoring instructions, be admitted to the maternity unit, or receive immediate care for a delivery or an intervention.

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